CAQH Proview is an online data source that we use to credential all health care professionals. Health plans and hospitals obtain application information directly from this database. This eliminates the need for multiple organizations to contact the provider for the same information.

If you have not registered with CAQH, you will receive a registration kit within 10 business days after submitting your Aetna application request form.

Please register, and authorize Aetna to review your information. Then we can obtain your data electronically and begin the credentialing process.

If I am already registered with CAQH, what are my next steps?

If you have already registered with CAQH or have received registration information from CAQH, no further correspondence will be sent to you. Please ensure that you have granted Aetna authorization to review your information.

What is ProviderSource?

We use ProviderSource for successfully registered, directly credentialed practitioners in Washington state. When these providers complete an online application in ProviderSource, they must designate Aetna as an authorized heath plan.

What if errors are discovered during the credentialing process?

We will notify you of any information errors. It is your responsibility to work with the reporting entity (or entities) to correct the information.

How can I check on the status of my credentialing or re-credentialing?

Credentialing and contracting are separate processes, and both must be complete before you can join our network. You will receive written notification when your credentialing is complete. Then, your network management contact will help you to begin the contracting process.

I already have a contract with Aetna. What if I want to contract with other Aetna plans or with Coventry plans?

Our standard contract generally includes Aetna and Coventry plans. If you have questions about which plans you accept, please contact your network representative, or call us at one of the numbers below.

I am already contracted with Aetna. How do I renew my contract?

Contracts generally renew automatically, and you don’t need to do anything. If you want or need changes to your contract, contact your network representative, or call us at one of the numbers below.

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